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CMS RFI Seeks Information on How to Accelerate Access to Home and Community-Based Services

November 29, 2016

On November 9, 2016, the Centers for Medicare and Medicaid Services (CMS) published a Request for Information (RFI) entitled, “Medicaid Program Request for Information (RFI): Federal Government Interventions to Ensure the Provision of Timely and Quality Home and Community-Based Services.” CMS seeks comments for this RFI until January 9, 2017.

The RFI requests input from the public on ways that CMS can improve the quality of Medicaid-funded Home and Community-Based Services (HCBS). Specifically, CMS requests information and data on reforms and policy options they can consider in accelerating the provision of Home and Community-Based Services (HCBS), including a focus on choice and control, program integrity, rate setting, quality infrastructure, and the homecare workforce. Medicaid-funded HCBS include the job training and Supported Employment services provided by Medicaid. CMS also requests input on how to improve policies that protect HCBS beneficiaries from harm and  how to address some of the workforce challenges in this field (e.g., how to ensure that wages are sufficient to attract and retain staff).

CMS particularly wants to understand how it can best monitor and standardize the quality of services available, given diverse state service delivery systems and the lack of an overarching federal oversight framework for community-based long-term services and supports (LTSS).

For more information and how to comment, read the RFI. If you wish to comment, you can do so online or by mail to: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-2404-NC, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.